Completing this application does not commit you to an adoption. This form only allows MPR to know if a dog or dogs you have interest in would be a good match for your family and lifestyle, and will help us answer your questions. This is only the beginning of our efforts to assure the best possible match.

The more information you provide, the easier it will be for our reviewers to evaluate your application. All the questions in this questionnaire should be answered, and your email address must be correct in order for your application to be considered.

For Official Use Only - Leave Blank

STATUS (For office use only):

Name of dog you are interested in adopting, fostering or want to know more about:

If you have or had other dogs in the past, please let us know their current disposition

Still have the dog(s).

Died of old age.

Died of fatal disease.

Was euthanized due to behavior problems.

Was killed by accident.

Was hit by a car.

Was stolen.

Disappeared/Lost.

Ex spouse/partner kept after separation.

Returned to shelter or adoption agency.

Relinquished to animal shelter or rescue group.

Gave to friends, relatives or acquaintance.

Found dog(s) a good home.

Sold.

Confiscated by animal control.

Please specify what happened:

What other kind of animals do you own?

In your opinion, what is a good reason to get rid of a pet?

Pet Allergies

Divorce/Separation.

Financial issues.

I cant think of any.

Moving to home where pets are not allowed.

Not enough time for pet or home is too small.

If pet is destructive or not housetrained.

If pet is aggressive towards people.

If pet is aggressive towards other pets.

Other (explain)Other (explain)

Of all breeds available, why do you want a Pit Bull (or other breed offered by MPR)?

Experience: Please relate any prior experience you have had with this breed.

References: Please supply the name and phone number of your current veterinarian, or the one who saw your previous pet(s), with their title identification. If you don't have a vet, please provide the name of your employer, clergyman, or anyone not related to you who can attest to your character. Vet references are preferred.

Additional information you would like to provide about yourself and/or the dog you would like to adopt: